Trial Outcomes & Findings for Blood Lactate Concentrations With and Without Exercise in Parkinson's Disease and Multiple Sclerosis Patients (NCT NCT02184494)

NCT ID: NCT02184494

Last Updated: 2017-03-30

Results Overview

Measured using a blood lactate analyzer, a finger prick test measured before, after, and 10 minutes after exercise

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

34 participants

Primary outcome timeframe

Before, immediately after, and 10 minutes after the squatting exercise protocol

Results posted on

2017-03-30

Participant Flow

Participant milestones

Participant milestones
Measure
Blood Lactate Response in PD
This arm involves performing 5 sets of 1-minute squats with 1 minute of rest between each, and a finger prick before, after, and 10 minutes after the exercise in a PD population. One set of the squats will be performed on a whole body vibration plate, and one on the ground. pro5 AIRdaptive Power Plate, Badhoevedorp, The Netherlands: Subjects will be exposed to vertical vibration with a frequency and peak-to-peak displacement of 30 Hz and 1 mm, respectively, which provides a peak-to-peak acceleration of about 4.16 G. Whole Body Vibration
Blood Lactate Response in MS
This arm involves performing 5 sets of 1-minute squats with 1 minute of rest between each, and a finger prick before, after, and 10 minutes after the exercise in an MS population. One set of the squats will be performed on a whole body vibration plate, and one on the ground. pro5 AIRdaptive Power Plate, Badhoevedorp, The Netherlands: Subjects will be exposed to vertical vibration with a frequency and peak-to-peak displacement of 30 Hz and 1 mm, respectively, which provides a peak-to-peak acceleration of about 4.16 G. Whole Body Vibration
Blood Lactate Responses in Healthy, Older Adults
This arm involves performing 5 sets of 1-minute squats with 1 minute of rest between each, and a finger prick before, after, and 10 minutes after the exercise in healthy, older adults. One set of the squats will be performed on a whole body vibration plate, and one on the ground. pro5 AIRdaptive Power Plate, Badhoevedorp, The Netherlands: Subjects will be exposed to vertical vibration with a frequency and peak-to-peak displacement of 30 Hz and 1 mm, respectively, which provides a peak-to-peak acceleration of about 4.16 G. Whole Body Vibration
Overall Study
STARTED
13
13
8
Overall Study
COMPLETED
12
11
8
Overall Study
NOT COMPLETED
1
2
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Blood Lactate Concentrations With and Without Exercise in Parkinson's Disease and Multiple Sclerosis Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Blood Lactate Response in PD
n=12 Participants
This arm involves performing 5 sets of 1-minute squats with 1 minute of rest between each, and a finger prick before, after, and 10 minutes after the exercise in a PD population. One set of the squats will be performed on a whole body vibration plate, and one on the ground. pro5 AIRdaptive Power Plate, Badhoevedorp, The Netherlands: Subjects will be exposed to vertical vibration with a frequency and peak-to-peak displacement of 30 Hz and 1 mm, respectively, which provides a peak-to-peak acceleration of about 4.16 G. Whole Body Vibration
Blood Lactate Response in MS
n=11 Participants
This arm involves performing 5 sets of 1-minute squats with 1 minute of rest between each, and a finger prick before, after, and 10 minutes after the exercise in an MS population. One set of the squats will be performed on a whole body vibration plate, and one on the ground. pro5 AIRdaptive Power Plate, Badhoevedorp, The Netherlands: Subjects will be exposed to vertical vibration with a frequency and peak-to-peak displacement of 30 Hz and 1 mm, respectively, which provides a peak-to-peak acceleration of about 4.16 G. Whole Body Vibration
Blood Lactate Responses in Healthy, Older Adults
n=8 Participants
This arm involves performing 5 sets of 1-minute squats with 1 minute of rest between each, and a finger prick before, after, and 10 minutes after the exercise in healthy, older adults. One set of the squats will be performed on a whole body vibration plate, and one on the ground. pro5 AIRdaptive Power Plate, Badhoevedorp, The Netherlands: Subjects will be exposed to vertical vibration with a frequency and peak-to-peak displacement of 30 Hz and 1 mm, respectively, which provides a peak-to-peak acceleration of about 4.16 G. Whole Body Vibration
Total
n=31 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=5 Participants
9 Participants
n=7 Participants
7 Participants
n=5 Participants
19 Participants
n=4 Participants
Age, Categorical
>=65 years
9 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
12 Participants
n=4 Participants
Age, Continuous
72 years
STANDARD_DEVIATION 9 • n=5 Participants
52 years
STANDARD_DEVIATION 10 • n=7 Participants
50 years
STANDARD_DEVIATION 10 • n=5 Participants
59 years
STANDARD_DEVIATION 14 • n=4 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
11 Participants
n=7 Participants
7 Participants
n=5 Participants
25 Participants
n=4 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
6 Participants
n=4 Participants
Region of Enrollment
United States
12 participants
n=5 Participants
11 participants
n=7 Participants
8 participants
n=5 Participants
31 participants
n=4 Participants

PRIMARY outcome

Timeframe: Before, immediately after, and 10 minutes after the squatting exercise protocol

Population: 2 of the 8 participants in the healthy, older adults group did not return for this visit, and thus, were not included in analysis. 1 of the 12 MS participants did not return for this visit, and thus, were not included in analysis.

Measured using a blood lactate analyzer, a finger prick test measured before, after, and 10 minutes after exercise

Outcome measures

Outcome measures
Measure
Blood Lactate Response in PD
n=12 Participants
This arm involves performing 5 sets of 1-minute squats with 1 minute of rest between each, and a finger prick before, after, and 10 minutes after the exercise in a PD population. One set of the squats will be performed on a whole body vibration plate, and one on the ground. pro5 AIRdaptive Power Plate, Badhoevedorp, The Netherlands: Subjects will be exposed to vertical vibration with a frequency and peak-to-peak displacement of 30 Hz and 1 mm, respectively, which provides a peak-to-peak acceleration of about 4.16 G. Whole Body Vibration
Blood Lactate Response in MS
n=11 Participants
This arm involves performing 5 sets of 1-minute squats with 1 minute of rest between each, and a finger prick before, after, and 10 minutes after the exercise in an MS population. One set of the squats will be performed on a whole body vibration plate, and one on the ground. pro5 AIRdaptive Power Plate, Badhoevedorp, The Netherlands: Subjects will be exposed to vertical vibration with a frequency and peak-to-peak displacement of 30 Hz and 1 mm, respectively, which provides a peak-to-peak acceleration of about 4.16 G. Whole Body Vibration
Blood Lactate Responses in Healthy, Older Adults
n=6 Participants
This arm involves performing 5 sets of 1-minute squats with 1 minute of rest between each, and a finger prick before, after, and 10 minutes after the exercise in healthy, older adults. One set of the squats will be performed on a whole body vibration plate, and one on the ground. pro5 AIRdaptive Power Plate, Badhoevedorp, The Netherlands: Subjects will be exposed to vertical vibration with a frequency and peak-to-peak displacement of 30 Hz and 1 mm, respectively, which provides a peak-to-peak acceleration of about 4.16 G. Whole Body Vibration
Blood Lactate Response
Pre without Whole Body Vibration
1.7 mmol/L
Standard Deviation 0.7
1.6 mmol/L
Standard Deviation 0.7
1.2 mmol/L
Standard Deviation 0.4
Blood Lactate Response
Immediately Post without Whole Body Vibration
2.3 mmol/L
Standard Deviation 0.9
2.8 mmol/L
Standard Deviation 1.3
2.5 mmol/L
Standard Deviation 1.1
Blood Lactate Response
10 Minutes Post without Whole Body Vibration
2.2 mmol/L
Standard Deviation 1.3
3.3 mmol/L
Standard Deviation 2.3
2.6 mmol/L
Standard Deviation 1.2
Blood Lactate Response
Pre with Whole Body Vibration
1.8 mmol/L
Standard Deviation 0.7
2.2 mmol/L
Standard Deviation 1.0
1.3 mmol/L
Standard Deviation 0.3
Blood Lactate Response
Immediately Post with Whole Body Vibration
3.1 mmol/L
Standard Deviation 2.4
4.3 mmol/L
Standard Deviation 3.0
2.9 mmol/L
Standard Deviation 0.9
Blood Lactate Response
10 Minutes Post with Whole Body Vibration
1.8 mmol/L
Standard Deviation 0.5
3.1 mmol/L
Standard Deviation 1.9
2.2 mmol/L
Standard Deviation 0.9

SECONDARY outcome

Timeframe: Measured immediately upon arriving to the laboratory. Lasted approximately 25 minutes.

Population: 1 of the 12 PD participants had severe claustrophobia, and could not tolerate the breathing mask on their face. 1 of the 12 PD participants, and 1 of the 8 healthy, older adults participants: dysfunctional equipment, and thus invalid results.

Measured using using indirect calorimetry with a ventilated face mask and noseclip (Parvometrics, Sandy, UT). This involves laying supine for 30 to 60 minutes.

Outcome measures

Outcome measures
Measure
Blood Lactate Response in PD
n=10 Participants
This arm involves performing 5 sets of 1-minute squats with 1 minute of rest between each, and a finger prick before, after, and 10 minutes after the exercise in a PD population. One set of the squats will be performed on a whole body vibration plate, and one on the ground. pro5 AIRdaptive Power Plate, Badhoevedorp, The Netherlands: Subjects will be exposed to vertical vibration with a frequency and peak-to-peak displacement of 30 Hz and 1 mm, respectively, which provides a peak-to-peak acceleration of about 4.16 G. Whole Body Vibration
Blood Lactate Response in MS
n=11 Participants
This arm involves performing 5 sets of 1-minute squats with 1 minute of rest between each, and a finger prick before, after, and 10 minutes after the exercise in an MS population. One set of the squats will be performed on a whole body vibration plate, and one on the ground. pro5 AIRdaptive Power Plate, Badhoevedorp, The Netherlands: Subjects will be exposed to vertical vibration with a frequency and peak-to-peak displacement of 30 Hz and 1 mm, respectively, which provides a peak-to-peak acceleration of about 4.16 G. Whole Body Vibration
Blood Lactate Responses in Healthy, Older Adults
n=7 Participants
This arm involves performing 5 sets of 1-minute squats with 1 minute of rest between each, and a finger prick before, after, and 10 minutes after the exercise in healthy, older adults. One set of the squats will be performed on a whole body vibration plate, and one on the ground. pro5 AIRdaptive Power Plate, Badhoevedorp, The Netherlands: Subjects will be exposed to vertical vibration with a frequency and peak-to-peak displacement of 30 Hz and 1 mm, respectively, which provides a peak-to-peak acceleration of about 4.16 G. Whole Body Vibration
Resting Energy Expenditure
1338 kcal
Standard Deviation 284
1262 kcal
Standard Deviation 139
1521 kcal
Standard Deviation 276

OTHER_PRE_SPECIFIED outcome

Timeframe: Measured immediately after the resting energy expenditure measurement, and before the other questionnaires. Lasted approximately 15 minutes.

Population: The MS and healthy, older adults populations were not required to be assessed with the UPDRS because the assessment materials were for PD populations, specifically.

Neurological functional state will be assessed using the Unified Parkinson's Disease Rating Scale (UPDRS). Of the 5 sections of the examination, two parts were used. Part II (self-evaluation of aspects of the experiences of daily living) consisted of 13 Likert scale questions (graded 0 to 4, with 4 being most severe), including speech, saliva and drooling, chewing and swallowing, eating tasks, dressing, hygiene, handwriting, doing hobbies and other activities, turning in bed, tremor, getting out of bed/car/deep chair, walking and balance, and freezing. Part III (motor evaluation performed by trained research personnel) consisted of 14 Likert scale questions (graded 0 to 4, with 4 being most severe), including speech, facial expression, rigidity, finger tapping, hand movements, pronation-supination movements of hands, toe tapping, leg agility, arising from chair, gait, etc... Values were summed, with higher values indicating increased impairment and disability.

Outcome measures

Outcome measures
Measure
Blood Lactate Response in PD
n=12 Participants
This arm involves performing 5 sets of 1-minute squats with 1 minute of rest between each, and a finger prick before, after, and 10 minutes after the exercise in a PD population. One set of the squats will be performed on a whole body vibration plate, and one on the ground. pro5 AIRdaptive Power Plate, Badhoevedorp, The Netherlands: Subjects will be exposed to vertical vibration with a frequency and peak-to-peak displacement of 30 Hz and 1 mm, respectively, which provides a peak-to-peak acceleration of about 4.16 G. Whole Body Vibration
Blood Lactate Response in MS
This arm involves performing 5 sets of 1-minute squats with 1 minute of rest between each, and a finger prick before, after, and 10 minutes after the exercise in an MS population. One set of the squats will be performed on a whole body vibration plate, and one on the ground. pro5 AIRdaptive Power Plate, Badhoevedorp, The Netherlands: Subjects will be exposed to vertical vibration with a frequency and peak-to-peak displacement of 30 Hz and 1 mm, respectively, which provides a peak-to-peak acceleration of about 4.16 G. Whole Body Vibration
Blood Lactate Responses in Healthy, Older Adults
This arm involves performing 5 sets of 1-minute squats with 1 minute of rest between each, and a finger prick before, after, and 10 minutes after the exercise in healthy, older adults. One set of the squats will be performed on a whole body vibration plate, and one on the ground. pro5 AIRdaptive Power Plate, Badhoevedorp, The Netherlands: Subjects will be exposed to vertical vibration with a frequency and peak-to-peak displacement of 30 Hz and 1 mm, respectively, which provides a peak-to-peak acceleration of about 4.16 G. Whole Body Vibration
Neurological Function
23 units on a scale
Standard Deviation 6

OTHER_PRE_SPECIFIED outcome

Timeframe: Collected immediately after the UPDRS (if PD population), or immediately after the resting energy expenditure measurement (if MS or healthy, older adult). Measured with other questionnaires and immediately before squatting exercise. Lasted ~10 minutes.

Population: 2 of the 8 healthy, older adults did not complete all of the surveys, and were thus, clearly unable to be added to analysis.

Short Form 36 Health Survey questionnaire: patient-reported survey of 36 questions, yielding the participant's degree of health on 8 different scale scores (each scale summed into a 0-100 score, with lower scores indicating more disability). The eight scales include vitality, physical functioning, bodily pain, general health perceptions, physical role functioning, emotional role functioning, social role functioning, and mental health. Schwab and England Activities of Daily Living Questionnaire: self-rated, single item assessment of the participant's ability to perform daily activities with speed and independence, measured using a Likert scale of percentages, in 10% increments. A score of 100% indicates total independence, while 0% indicates complete dependence.

Outcome measures

Outcome measures
Measure
Blood Lactate Response in PD
n=12 Participants
This arm involves performing 5 sets of 1-minute squats with 1 minute of rest between each, and a finger prick before, after, and 10 minutes after the exercise in a PD population. One set of the squats will be performed on a whole body vibration plate, and one on the ground. pro5 AIRdaptive Power Plate, Badhoevedorp, The Netherlands: Subjects will be exposed to vertical vibration with a frequency and peak-to-peak displacement of 30 Hz and 1 mm, respectively, which provides a peak-to-peak acceleration of about 4.16 G. Whole Body Vibration
Blood Lactate Response in MS
n=11 Participants
This arm involves performing 5 sets of 1-minute squats with 1 minute of rest between each, and a finger prick before, after, and 10 minutes after the exercise in an MS population. One set of the squats will be performed on a whole body vibration plate, and one on the ground. pro5 AIRdaptive Power Plate, Badhoevedorp, The Netherlands: Subjects will be exposed to vertical vibration with a frequency and peak-to-peak displacement of 30 Hz and 1 mm, respectively, which provides a peak-to-peak acceleration of about 4.16 G. Whole Body Vibration
Blood Lactate Responses in Healthy, Older Adults
n=6 Participants
This arm involves performing 5 sets of 1-minute squats with 1 minute of rest between each, and a finger prick before, after, and 10 minutes after the exercise in healthy, older adults. One set of the squats will be performed on a whole body vibration plate, and one on the ground. pro5 AIRdaptive Power Plate, Badhoevedorp, The Netherlands: Subjects will be exposed to vertical vibration with a frequency and peak-to-peak displacement of 30 Hz and 1 mm, respectively, which provides a peak-to-peak acceleration of about 4.16 G. Whole Body Vibration
Health and Activity Questionnaire
Physical Funcitoning
65 units on a scale
Standard Deviation 21
66 units on a scale
Standard Deviation 22
95 units on a scale
Standard Deviation 4
Health and Activity Questionnaire
Role Limitations due to Physical Health
43 units on a scale
Standard Deviation 34
70 units on a scale
Standard Deviation 32
82 units on a scale
Standard Deviation 35
Health and Activity Questionnaire
Role Limitations due to Emotional Health
73 units on a scale
Standard Deviation 34
82 units on a scale
Standard Deviation 26
90 units on a scale
Standard Deviation 23
Health and Activity Questionnaire
Energy/Fatigue
55 units on a scale
Standard Deviation 17
42 units on a scale
Standard Deviation 26
71 units on a scale
Standard Deviation 21
Health and Activity Questionnaire
Emotional Well-Being
75 units on a scale
Standard Deviation 16
75 units on a scale
Standard Deviation 13
87 units on a scale
Standard Deviation 5
Health and Activity Questionnaire
Social Functioning
78 units on a scale
Standard Deviation 20
73 units on a scale
Standard Deviation 22
95 units on a scale
Standard Deviation 13
Health and Activity Questionnaire
Pain
73 units on a scale
Standard Deviation 16
70 units on a scale
Standard Deviation 29
86 units on a scale
Standard Deviation 8
Health and Activity Questionnaire
General Health
68 units on a scale
Standard Deviation 19
58 units on a scale
Standard Deviation 15
87 units on a scale
Standard Deviation 8
Health and Activity Questionnaire
Activities of Daily Living
85 units on a scale
Standard Deviation 5
NA units on a scale
Standard Deviation NA
Participants in this group did not complete this survey.
100 units on a scale
Standard Deviation 0

OTHER_PRE_SPECIFIED outcome

Timeframe: Collected at the same time as the other questionnaires. Lasted approximately 5-7 minutes.

Population: 2 of the 8 healthy, older adults did not complete all of the surveys, and were thus unable to be added to analysis.

Fatigue Severity Scale: 9-item, self-reporting rating that rates the severity of your fatigue symptoms on a Likert scale ranging from 1 to 7, with 1 indicating strong disagreement, and 7 indicating strong agreement. The sum of scores is calculated. The lower the score, the more severe the participant's fatigue symptoms. Beck's Depression Inventory: 21-item, self-report rating inventory that measures characteristic attitudes and symptoms of depression on a Likert scale ranging from 0 to 3, with 3 being the most severe. The sum of scores is calculated. A high score indicates more severe depression and related symptoms.

Outcome measures

Outcome measures
Measure
Blood Lactate Response in PD
n=12 Participants
This arm involves performing 5 sets of 1-minute squats with 1 minute of rest between each, and a finger prick before, after, and 10 minutes after the exercise in a PD population. One set of the squats will be performed on a whole body vibration plate, and one on the ground. pro5 AIRdaptive Power Plate, Badhoevedorp, The Netherlands: Subjects will be exposed to vertical vibration with a frequency and peak-to-peak displacement of 30 Hz and 1 mm, respectively, which provides a peak-to-peak acceleration of about 4.16 G. Whole Body Vibration
Blood Lactate Response in MS
n=11 Participants
This arm involves performing 5 sets of 1-minute squats with 1 minute of rest between each, and a finger prick before, after, and 10 minutes after the exercise in an MS population. One set of the squats will be performed on a whole body vibration plate, and one on the ground. pro5 AIRdaptive Power Plate, Badhoevedorp, The Netherlands: Subjects will be exposed to vertical vibration with a frequency and peak-to-peak displacement of 30 Hz and 1 mm, respectively, which provides a peak-to-peak acceleration of about 4.16 G. Whole Body Vibration
Blood Lactate Responses in Healthy, Older Adults
n=6 Participants
This arm involves performing 5 sets of 1-minute squats with 1 minute of rest between each, and a finger prick before, after, and 10 minutes after the exercise in healthy, older adults. One set of the squats will be performed on a whole body vibration plate, and one on the ground. pro5 AIRdaptive Power Plate, Badhoevedorp, The Netherlands: Subjects will be exposed to vertical vibration with a frequency and peak-to-peak displacement of 30 Hz and 1 mm, respectively, which provides a peak-to-peak acceleration of about 4.16 G. Whole Body Vibration
Fatigue/Depression Assessment
Depression
7 units on a scale
Standard Deviation 5
8 units on a scale
Standard Deviation 5
3 units on a scale
Standard Deviation 3
Fatigue/Depression Assessment
Fatigue
30 units on a scale
Standard Deviation 18
38 units on a scale
Standard Deviation 17
17 units on a scale
Standard Deviation 14

Adverse Events

Blood Lactate Response in PD

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Blood Lactate Response in MS

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Blood Lactate Responses in Healthy, Older Adults

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Michael J. Ormsbee

Florida State University

Phone: 6103313126

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place